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Deficiency Records for Grundy Care Center
A list of the most recent deficiencies for Grundy Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Grundy Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-27 | 2024-09-20 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-01 | 2024-08-31 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-01 | 2024-08-31 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-01 | 2024-08-31 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-10-16 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-17 | 2023-09-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-17 | 2023-09-12 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-17 | 2023-09-12 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-17 | 2023-09-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-12 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-17 | 2023-09-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-17 | 2023-09-12 | Y |
Respond appropriately to all alleged violations. | Health | 2023-08-17 | 2023-09-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-12 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-17 | 2023-09-12 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-12 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-17 | 2023-09-12 | Y |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-15 | 2023-08-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-15 | 2023-08-23 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-15 | 2023-08-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-08-16 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-06 | 2023-05-05 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-05 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-06 | 2023-05-05 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-09-23 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-09-23 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-05 | 2022-08-05 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-05 | 2022-08-05 | N |
Assess the resident when there is a significant change in condition | Health | 2022-07-07 | 2022-07-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-07-07 | 2022-07-28 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-07 | 2022-07-28 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-07 | 2022-07-28 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-07 | 2022-07-28 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-07 | 2022-07-28 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-07 | 2022-07-28 | Y |
Use approved construction type or materials. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-05 | 2022-07-28 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-05 | 2022-07-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-05 | 2022-07-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-05 | 2022-07-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-05 | 2022-07-05 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-01 | 2021-04-01 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-25 | 2021-03-26 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-02-25 | 2021-03-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-01 | 2021-03-25 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-01 | 2021-03-22 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-01 | 2021-03-22 | N |
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